Antisense oligonucleotide modulation of human MDM2 expression

ABSTRACT

Compounds, compositions and methods are provided for inhibiting the expression of human mdm2. The compositions comprise antisense oligonucleotides targeted to nucleic acids encoding mdm2. Methods of using these oligonucleotides for inhibition of mdm2 expression and for treatment of diseases such as cancers associated with overexpression of mdm2 are provided.

[0001] This application is a continuation of U.S. Ser. No. 09/048,810 filed Mar. 26, 1998.

FIELD OF THE INVENTION

[0002] This invention relates to compositions and methods for modulating expression of the human mdm2 gene, a naturally present cellular gene implicated in abnormal cell proliferation and tumor formation. This invention is also directed to methods for inhibiting hyperproliferation of cells; these methods can be used diagnostically or therapeutically. Furthermore, this invention is directed to treatment of conditions associated with expression of the human mdm2 gene.

BACKGROUND OF THE INVENTION

[0003] Inactivation of tumor suppressor genes leads to unregulated cell proliferation and is a cause of tumorigenesis. In many tumors, p53 or the retinoblastoma (Rb) protein are inactivated. This can occur either by mutations within these genes, or by overexpression of the mdm2 gene. The mdm2 protein physically associates with both p53 and Rb, inhibiting their function. The levels of mdm2 are maintained through a feedback loop mechanism with p53. Overexpression of mdm2 effectively inactivates p53 and promotes cell proliferation. Amplification of the mdm2 gene is found in many human cancers, including soft tissue sarcomas, astrocytomas, glioblastomas, breast cancers and non-small cell lung carcinomas. In many blood cancers, overexpression of mdm2 can occur with a normal copy number. This has been attributed to enhanced translation of mdm2 mRNA, which is thought to be related to a distinct 5′-untranslated region (5′-UTR) which causes the transcript to be translated more efficiently than the normal mdm2 transcript. Landers et al., Cancer Res. 57, 3562, (1997).

[0004] Several approaches have been used to disrupt the interaction between p53 and mdm2. Small peptide inhibitors, screened from a phage display library, have been shown in ELISA assays to disrupt this interaction [Bottger et al., J. Mol. Biol., 269, 744 (1997)]. Microinjection of an anti-mdm2 antibody targeted to the p53-binding domain of mdm2 increased p53-dependent transcription [Blaydes et al., Oncogene, 14, 1859 (1997)].

[0005] A vector-based antisense approach has been used to study the function of mdm2. Using a rhabdomyosarcoma model, Fiddler et al. [Mol. Cell Biol., 16, 5048 (1996)] demonstrated that amplified mdm2 inhibits the ability of MyoD to function as a transcription factor. Furthermore, expression of full-length antisense mdm2 from a cytomegalovirus promoter-containing vector restores muscle-specific gene expression.

[0006] Antisense oligonucleotides have also been useful in understanding the role of mdm2 in regulation of p53. An antisense oligonucleotide directed to the mdm2 start codon allowed cisplatin-induced p53-mediated apoptosis to occur in a cell line overexpressing mdm2 [Kondo et al., Oncogene, 10, 2001 (1995). The same oligonucleotide was found to inhibit the expression of P-glycoprotein [Kondo et al., Br. J. Cancer, 74, 1263 (1996)]. P-glycoprotein was shown to be induced by mdm2. Teoh et al [Blood, 90, 1982 (1997)] demonstrated that treatment with an identical mdm2 antisense oligonucleotide or a shorter version within the same region in a tumor cell line decreased DNA synthesis and cell viability and triggered apoptosis.

[0007] Chen et al. [Proc. Natl. Acad. Sci. USA, 95, 195 (1998)] disclose antisense oligonucleotides targeted to the coding region of mdm2. A reduction in mdm2 RNA and protein levels was seen, and transcriptional activity from a p53-responsive promoter was increased after oligonucleotide treatment of JAR (choriocarcinoma) or SJSA (osteosarcoma) cells.

[0008] WO 93/20238 and WO 97/09343 disclose, in general, the use of antisense constructs, antisense oligonucleotides, ribozymes and triplex-forming oligonucleotides to detect or to inhibit expression of mdm2.

[0009] There remains a long-felt need for improved compositions and methods for inhibiting mdm2 gene expression.

SUMMARY OF THE INVENTION

[0010] The present invention provides oligonucleotides which are targeted to nucleic acids encoding human mdm2 and are capable of inhibiting mdm2 expression. The present invention also provides chimeric oligonucleotides targeted to nucleic acids encoding human mdm2. The oligonucleotides of the invention are believed to be useful both diagnostically and therapeutically, and are believed to be particularly useful in the methods of the present invention.

[0011] The present invention also comprises methods of inhibiting the expression of human mdm2, particularly the increased expression resulting from amplification of mdm2. These methods are believed to be useful both therapeutically and diagnostically as a consequence of the association between mdm2 expression and hyperproliferation. These methods are also useful as tools, for example, for detecting and determining the role of mdm2 expression in various cell functions and physiological processes and conditions and for diagnosing conditions associated with mdm2 expression.

[0012] The present invention also comprises methods of inhibiting hyperproliferation of cells using oligonucleotides of the invention. These methods are believed to be useful, for example, in diagnosing mdm2-associated cell hyperproliferation. Methods of treating abnormal proliferative conditions associated with mdm2 are also provided. These methods employ the oligonucleotides of the invention. These methods are believed to be useful both therapeutically and as clinical research and diagnostic tools.

DETAILED DESCRIPTION OF THE INVENTION

[0013] Tumors often result from genetic changes in cellular regulatory genes. Among the most important of these are the tumor suppressor genes, of which p53 is the most widely studied. Approximately half of all human tumors have a mutation in the p53 gene. This mutation disrupts the ability of the p53 protein to bind to DNA and act as a transcription factor. Hyperproliferation of cells occurs as a result. Another mechanism by which p53 can be inactivated is through overexpression of mdm2, which regulates p53 activity in a feedback loop. The mdm2 protein binds to p53 in its DNA binding region, preventing its activity. Mdm2 is amplified in some human tumors, and this amplification is diagnostic of neoplasia or the potential therefor. Over one third of human sarcomas have elevated mdm2 sequences. Elevated expression may also be involved in other tumors including but not limited to those in which p53 inactivation has been implicated. These include colorectal carcinoma, lung cancer and chronic myelogenous leukemia.

[0014] Many abnormal proliferative conditions, particularly hyperproliferative conditions, are believed to be associated with mdm2 expression and are, therefore believed to be responsive to inhibition of mdm2 expression. Examples of hyperproliferative conditions are cancers, psoriasis, blood vessel stenosis (e.g., restenosis or atherosclerosis), and fibrosis, e.g., of the lung or kidney.

[0015] The present invention employs antisense compounds, particularly oligonucleotides, for use in inhibiting the function of nucleic acid molecules encoding mdm2, ultimately modulating the amount of mdm2 produced. This is accomplished by providing oligonucleotides which specifically hybridize with nucleic acids, preferably mRNA, encoding mdm2.

[0016] This relationship between an antisense compound such as an oligonucleotide and its complementary nucleic acid target, to which it hybridizes, is commonly referred to as “antisense”. “Targeting” an oligonucleotide to a chosen nucleic acid target, in the context of this invention, is a multistep process. The process usually begins with identifying a nucleic acid sequence whose function is to be modulated. This may be, as examples, a cellular gene (or mRNA made from the gene) whose expression is associated with a particular disease state, or a foreign nucleic acid from an infectious agent. In the present invention, the target is a nucleic acid encoding mdm2; in other words, a mdm2 gene or RNA expressed from a mdm2 gene. mdm2 mRNA is presently the preferred target. The targeting process also includes determination of a site or sites within the nucleic acid sequence for the antisense interaction to occur such that modulation of gene expression will result.

[0017] In accordance with this invention, persons of ordinary skill in the art will understand that messenger RNA includes not only the information to encode a protein using the three letter genetic code, but also associated ribonucleotides which form a region known to such persons as the 5′-untranslated region, the 3′-untranslated region, the 5′ cap region and intron/exon junction ribonucleotides. Thus, oligonucleotides may be formulated in accordance with this invention which are targeted wholly or in part to these associated ribonucleotides as well as to the informational ribonucleotides. The oligonucleotide may therefore be specifically hybridizable with a transcription initiation site region, a translation initiation codon region, a 5′ cap region, an intron/exon junction, coding sequences, a translation termination codon region or sequences in the 5′- or 3′-untranslated region. Since, as is known in the art, the translation initiation codon is typically 5′-AUG (in transcribed mRNA molecules; 5′-ATG in the corresponding DNA molecule), the translation initiation codon is also referred to as the “AUG codon,” the “start codon” or the “AUG start codon.” A minority of genes have a translation initiation codon having the RNA sequence 5′-GUG, 5′-UUG or 5′-CUG, and 5′-AUA, 5¹-ACG and 5′-CUG have been shown to function in vivo. Thus, the terms “translation initiation codon” and “start codon” can encompass many codon sequences, even though the initiator amino acid in each instance is typically methionine (in eukaryotes) or formylmethionine (prokaryotes). It is also known in the art that eukaryotic and prokaryotic genes may have two or more alternative start codons, any one of which may be preferentially utilized for translation initiation in a particular cell type or tissue, or under a particular set of conditions. In the context of the invention, “start codon” and “translation initiation codon” refer to the codon or codons that are used in vivo to initiate translation of an mRNA molecule transcribed from a gene encoding mdm2, regardless of the sequence(s) of such codons. It is also known in the art that a translation termination codon (or “stop codon”) of a gene may have one of three sequences, i.e., 5′-UAA, 5′-UAG and 5′-UGA (the corresponding DNA sequences are 5′-TAA, 5′-TAG and 5′-TGA, respectively). The terms “start codon region” and “translation initiation codon region” refer to a portion of such an mRNA or gene that encompasses from about 25 to about 50 contiguous nucleotides in either direction (i.e., 5′ or 3′) from a translation initiation codon. This region is a preferred target region. Similarly, the terms “stop codon region” and “translation termination codon region” refer to a portion of such an mRNA or gene that encompasses from about 25 to about 50 contiguous nucleotides in either direction (i.e., 5′ or 3′) from a translation termination codon. This region is a preferred target region. The open reading frame (ORF) or “coding region,” which is known in the art to refer to the region between the translation initiation codon and the translation termination codon, is also a region which may be targeted effectively. Other preferred target regions include the 5′ untranslated region (5′UTR), known in the art to refer to the portion of an mRNA in the 5′ direction from the translation initiation codon, and thus including nucleotides between the 5′ cap site and the translation initiation codon of an mRNA or corresponding nucleotides on the gene) and the 3′ untranslated region (3′UTR), known in the art to refer to the portion of an mRNA in the 3′ direction from the translation termination codon, and thus including nucleotides between the translation termination codon and 3′ end of an mRNA or corresponding nucleotides on the gene). mdm2 is believed to have alternative transcripts which differ in their 5′-UTR regions. The @-mdm2 transcript class is translated approximately 8-fold more efficiently than the L-mdm2 transcripts produced by the constitutive promoter. Landers et al., Cancer Res., 57, 3562 (1997). Accordingly, both the 5—UTR of the S-mdm transcript and the 5′-UTR of the L-mdm2 transcript are preferred target regions, with the S-mdm2 5′-UTR being more preferred. mRNA splice sites may also be preferred target regions, and are particularly useful in situations where aberrant splicing is implicated in disease, or where an overproduction of a particular mRNA splice product is implicated in disease. Aberrant fusion junctions due to rearrangements or deletions may also be preferred targets.

[0018] Once the target site or sites have been identified, oligonucleotides are chosen which are sufficiently complementary to the target, i.e., hybridize sufficiently well and with sufficient specificity, to give the desired modulation.

[0019] “Hybridization”, in the context of this invention, means hydrogen bonding, also known as Watson-Crick base pairing, between complementary bases, usually on opposite nucleic acid strands or two regions of a nucleic acid strand. Guanine and cytosine are examples of complementary bases which are known to form three hydrogen bonds between them. Adenine and thymine are examples of complementary bases which form two hydrogen bonds between them.

[0020] “Specifically hybridizable” and “complementary” are terms which are used to indicate a sufficient degree of complementarity such that stable and specific binding occurs between the DNA or RNA target and the oligonucleotide.

[0021] It is understood that an oligonucleotide need not be 100% complementary to its target nucleic acid sequence to be specifically hybridizable. An oligonucleotide is specifically hybridizable when binding of the oligonucleotide to the target interferes with the normal function of the target molecule to cause a loss of utility, and there is a sufficient degree of complementarity to avoid non-specific binding of the oligonucleotide to non-target sequences under conditions in which specific binding is desired, i.e., under physiological conditions in the case of in vivo assays or therapeutic treatment or, in the case of in vitro assays, under conditions in which the assays are conducted.

[0022] Hybridization of antisense oligonucleotides with mRNA interferes with one or more of the normal functions of mRNA. The functions of mRNA to be interfered with include all vital functions such as, for example, translocation of the RNA to the site of protein translation, translation of protein from the RNA, splicing of the RNA to yield one or more mRNA species, and catalytic activity which may be engaged in by the RNA.

[0023] The overall effect of interference with mRNA function is modulation of mdm2 expression. In the context of this invention “modulation” means either inhibition or stimulation; i.e., either a decrease or increase in expression. Inhibition of mdm2 gene expression is presently the preferred form of modulation. This modulation can be measured in ways which are routine in the art, for example by Northern blot assay of mRNA expression as taught in the examples of the instant application or by Western blot or ELISA assay of protein expression, or by an immunoprecipitation assay of protein expression, as taught in the examples of the instant application. Effects on cell proliferation or tumor cell growth can also be measured, as taught in the examples of the instant application.

[0024] The oligonucleotides of this invention can be used in diagnostics, therapeutics, prophylaxis, and as research reagents and in kits. Since the oligonucleotides of this invention hybridize to nucleic acids encoding mdm2, sandwich, calorimetric and other assays can easily be constructed to exploit this fact. Furthermore, since the oligonucleotides of this invention hybridize specifically to nucleic acids encoding particular isozymes of mdm2, such assays can be devised for screening of cells and tissues for particular mdm2 isozymes. Such assays can be utilized for diagnosis of diseases associated with various mdm2 forms. Provision of means for detecting hybridization of oligonucleotide with a mdm2 gene or mRNA can routinely be accomplished. Such provision may include enzyme conjugation, radiolabelling or any other suitable detection systems. Kits for detecting the presence or absence of mdm2 may also be prepared.

[0025] The present invention is also suitable for diagnosing abnormal proliferative states in tissue or other samples from patients suspected of having a hyperproliferative disease such as cancer or psoriasis. The ability of the oligonucleotides of the present invention to inhibit cell proliferation may be employed to diagnose such states. A number of assays may be formulated employing the present invention, which assays will commonly comprise contacting a tissue sample with an oligonucleotide of the invention under conditions selected to permit detection and, usually, quantitation of such inhibition. In the context of this invention, to “contact” tissues or cells with an oligonucleotide or oligonucleotides means to add the oligonucleotide(s), usually in a liquid carrier, to a cell suspension or tissue sample, either in vitro or ex vivo, or to administer the oligonucleotide(s) to cells or tissues within an animal. Similarly, the present invention can be used to distinguish mdm2-associated tumors, particularly tumors associated with mdm2α, from tumors having other etiologies, in order that an efficacious treatment regime can be designed.

[0026] The oligonucleotides of this invention may also be used for research purposes. Thus, the specific hybridization exhibited by the oligonucleotides may be used for assays, purifications, cellular product preparations and in other methodologies which may be appreciated by persons of ordinary skill in the art.

[0027] In the context of this invention, the term “oligonucleotide” refers to an oligomer or polymer of ribonucleic acid or deoxyribonucleic acid. This term includes oligonucleotides composed of naturally-occurring nucleobases, sugars and covalent intersugar (backbone) linkages as well as oligonucleotides having non-naturally-occurring portions which function similarly. Such modified or substituted oligonucleotides are often preferred over native forms because of desirable properties such as, for example, enhanced cellular uptake, enhanced binding to target and increased stability in the presence of nucleases.

[0028] Specific examples of some preferred modified oligonucleotides envisioned for this invention include those containing phosphorothioates, phosphotriesters, methyl phosphonates, short chain alkyl or cycloalkyl intersugar linkages or short chain heteroatomic or heterocyclic intersugar linkages. Most preferred are oligonucleotides with phosphorothioates (usually abbreviated in the art as P═S) and those with CH₂—NH—O—CH₂, CH₂—N(CH₃)—O—CH₂ [known as a methylene (methylimino) or MMI backbone], CH₂—O—N (CH₃)—CH₂, CH₂—N(CH₃)—N(CH₃)—CH₂ and O—N(CH₃)—CH₂—CH₂ backbones, wherein the native phosphodiester (usually abbreviated in the art as P═O) backbone is represented as O—P—O—CH₂). Also preferred are oligonucleotides having morpholino backbone structures (Summerton and Weller, U.S. Pat. No. 5,034,506). Further preferred are oligonucleotides with NR—C(*)—CH₂—CH₂, CH₂—NR—C(*)—CH₂, CH₂—CH₂—NR—C(*), C(*)—NR—CH₂—CH₂ and CH₂—C(*)—NR—CH₂ backbones, wherein “*” represents O or S (known as amide backbones; DeMesmaeker et al., WO 92/20823, published Nov. 26, 1992). In other preferred embodiments, such as the peptide nucleic acid (PNA) backbone, the phosphodiester backbone of the oligonucleotide is replaced with a polyamide backbone, the nucleobases being bound directly or indirectly to the aza nitrogen atoms of the polyamide backbone (Nielsen et al., Science, 254, 1497 (1991); U.S. Pat. No. 5,539,082). Other preferred modified oligonucleotides may contain one or more substituted sugar moieties comprising one of the following at the 2′ position: OH, SH, SCH₃, F, OCN, OCH₃OCH₃, OCH₃O(CH₂)_(n)CH₃, O(CH₂)_(n)NH₂ or O(CH₂)_(n)CH₃ where n is from 1 to about 10; C₁ to C10 lower alkyl, alkoxyalkoxy, substituted lower alkyl, alkaryl or aralkyl; Cl; Br; CN; CF₃; OCF₃; O—, S—, or N-alkyl; O—, S—, or N-alkenyl; SOCH₃; SO₂CH₃; ONO₂; NO₂; N₃; NH₂; heterocycloalkyl; heterocycloalkaryl; aminoalkylamino; polyalkylamino; substituted silyl; an RNA cleaving group; a reporter group; an intercalator; a group for improving the pharmacokinetic properties of an oligonucleotide; or a group for improving the pharmacodynamic properties of an oligonucleotide and other substituents having similar properties. A preferred modification includes 2′-O-methoxyethyl [which can be written as 2′—O—CH₂CH₂OCH₃, and is also known in the art as 2′—O—(2-methoxyethyl) or 2′-methoxyethoxy] [Martin et al., Helv. Chim. Acta, 78, 486 (1995)]. Other preferred modifications include 2′-methoxy (2′—O—CH₃), 2′-propoxy (2′—OCH₂CH₂CH₃) and 2′-fluoro (2′—F). Similar modifications may also be made at other positions on the oligonucleotide, particularly the 3′ position of the sugar on the 3′ terminal nucleotide and the 5′ position of the 5′ terminal nucleotide. Oligonucleotides may also have sugar mimetics such as cyclobutyls in place of the pentofuranosyl group.

[0029] The oligonucleotides of the invention may additionally or alternatively include nucleobase modifications or substitutions. As used herein, “unmodified” or “natural” nucleobases include adenine (A), guanine (G), thymine (T), cytosine (C) and uracil (U). Modified nucleobases include nucleobases found only infrequently or transiently in natural nucleic acids, e.g., hypoxanthine, 6-methyladenine and 5-methylcytosine, as well as synthetic nucleobases, e.g., 5-bromouracil, 5-hydroxymethyluracil, 8-azaguanine, 7-deazaguanine, N⁶(6-aminohexyl)adenine and 2,6-diaminopurine [Kornberg, A., DNA Replication, 1974, W.H. Freeman & Co., San Francisco, 1974, pp. 75-77; Gebeyehu, G., et al., Nucleic Acids Res., 15, 4513 (1987)]. 5-methylcytosine (5-me-C) is presently a preferred nucleobase, particularly in combination with 2′-O-methoxyethyl modifications.

[0030] Another preferred additional or alternative modification of the oligonucleotides of the invention involves chemically linking to the oligonucleotide one or more lipophilic moieties which enhance the cellular uptake of the oligonucleotide. Such lipophilic moieties may be linked to an oligonucleotide at several different positions on the oligonucleotide. Some preferred positions include the 3′ position of the sugar of the 3′ terminal nucleotide, the 5′ position of the sugar of the 5′ terminal nucleotide, and the 2′ position of the sugar of any nucleotide. The N⁶ position of a purine nucleobase may also be utilized to link a lipophilic moiety to an oligonucleotide of the invention (Gebeyehu, G., et al., Nucleic Acids Res., 1987, 15, 4513). Such lipophilic moieties include but are not limited to a cholesteryl moiety [Letsinger et al., Proc. Natl. Acad. Sci. USA, 86, 6553 (1989)], cholic acid [Manoharan et al., Bioorg. Med. Chem. Let., 4, 1053 (1994)], a thioether, e.g., hexyl-S-tritylthiol [Manoharan et al., Ann. N.Y. Acad. Sci., 660, 306 (1992); Manoharan et al., Bioorg. Med. Chem. Let., 3, 2765 (1993)], a thiocholesterol [Oberhauser et al., Nucl. Acids Res., 20, 533 (1992)], an aliphatic chain, e.g., dodecandiol or undecyl residues [Saison-Behmoaras et al., EMBO J., 10, 111 (1991); Kabanov et al., FEBS Lett., 259, 327 (1990); Svinarchuk et al., Biochimie., 75, 49(1993)], a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethylammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate [Manoharan et al., Tetrahedron Lett., 36, 3651 (1995); Shea et al., Nucl. Acids Res., 18, 3777 (1990)], a polyamine or a polyethylene glycol chain [Manoharan et al., Nucleosides & Nucleotides, 14, 969 (1995)], or adamantane acetic acid [Manoharan et al., Tetrahedron Lett., 36, 3651 (1995)], a palmityl moiety [Mishra et al., Biochim. Biophys. Acta, 1264, 229 (1995)], or an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety [Crooke et al., J. Pharmacol. Exp. Ther., 277, 923 (1996)]. Oligonucleotides comprising lipophilic moieties, and methods for preparing such oligonucleotides, as disclosed in U.S. Pat. No. 5,138,045, No. 5,218,105 and No. 5,459,255, the contents of which are hereby incorporated by reference.

[0031] The present invention also includes oligonucleotides which are chimeric oligonucleotides. “Chimeric” oligonucleotides or “chimeras,” in the context of this invention, are oligonucleotides which contain two or more chemically distinct regions, each made up of at least one nucleotide. These oligonucleotides typically contain at least one region wherein the oligonucleotide is modified so as to confer upon the oligonucleotide increased resistance to nuclease degradation, increased cellular uptake, and/or increased binding affinity for the target nucleic acid. An additional region of the oligonucleotide may serve as a substrate for enzymes capable of cleaving RNA:DNA or RNA:RNA hybrids. By way of example, RNase H is a cellular endonuclease which cleaves the RNA strand of an RNA:DNA duplex. Activation of RNase H, therefore, results in cleavage of the RNA target, thereby greatly enhancing the efficiency of antisense inhibition of gene expression. Cleavage of the RNA target can be routinely detected by gel electrophoresis and, if necessary, associated nucleic acid hybridization techniques known in the art. This RNAse H-mediated cleavage of the RNA target is distinct from the use of ribozymes to cleave nucleic acids. Ribozymes are not comprehended by the present invention.

[0032] Examples of chimeric oligonucleotides include but are not limited to “gapmers,” in which three distinct regions are present, normally with a central region flanked by two regions which are chemically equivalent to each other but distinct from the gap. A preferred example of a gapmer is an oligonucleotide in which a central portion (the “gap”) of the oligonucleotide serves as a substrate for RNase H and is preferably composed of 2′-deoxynucleotides, while the flanking portions (the 5′ and 3′ “wings”) are modified to have greater affinity for the target RNA molecule but are unable to support nuclease activity (e.g., 2′-fluoro- or 2′-O-methoxyethyl-substituted). Other chimeras include “wingmers,” also known in the art as “hemimers,” that is, oligonucleotides with two distinct regions. In a preferred example of a wingmer, the 5′ portion of the oligonucleotide serves as a substrate for RNase H and is preferably composed of 2′-deoxynucleotides, whereas the 3′ portion is modified in such a fashion so as to have greater affinity for the target RNA molecule but is unable to support nuclease activity (e.g., 2′-fluoro- or 2′-O-methoxyethyl-substituted), or vice-versa. In one embodiment, the oligonucleotides of the present invention contain a 2′-O-methoxyethyl (2′-O-CH₂CH₂OCH₃) modification on the sugar moiety of at least one nucleotide. This modification has been shown to increase both affinity of the oligonucleotide for its target and nuclease resistance of the oligonucleotide. According to the invention, one, a plurality, or all of the nucleotide subunits of the oligonucleotides of the invention may bear a 2′-O-methoxyethyl (—O—CH₂CH₂OCH₃) modification. Oligonucleotides comprising a plurality of nucleotide subunits having a 2′-O-methoxyethyl modification can have such a modification on any of the nucleotide subunits within the oligonucleotide, and may be chimeric oligonucleotides. Aside from or in addition to 2′-O-methoxyethyl modifications, oligonucleotides containing other modifications which enhance antisense efficacy, potency or target affinity are also preferred. Chimeric oligonucleotides comprising one or more such modifications are presently preferred. Through use of such modifications, active oligonucleotides have been identified which are shorter than conventional “first generation” oligonucleotides active against mdm2. Oligonucleotides in accordance with this invention are from 5 to 50 nucleotides in length. In the context of this invention it is understood that this encompasses non-naturally occurring oligomers as hereinbefore described, having from 5 to 50 monomers.

[0033] The oligonucleotides used in accordance with this invention may be conveniently and routinely made through the well-known technique of solid phase synthesis. Equipment for such synthesis is sold by several vendors including Applied Biosystems. Any other means for such synthesis may also be employed; the actual synthesis of the oligonucleotides is well within the talents of the routineer. It is well known to use similar techniques to prepare oligonucleotides such as the phosphorothioates and 2′-alkoxy or 2′-alkoxyalkoxy derivatives, including 2′-O-methoxyethyl oligonucleotides [Martin, P., Helv. Chim. Acta, 78, 486 (1995)]. It is also well known to use similar techniques and commercially available modified amidites and controlled-pore glass (CPG) products such as biotin, fluorescein, acridine or psoralen-modified amidites and/or CPG (available from Glen Research, Sterling Va.) to synthesize fluorescently labeled, biotinylated or other conjugated oligonucleotides.

[0034] The antisense compounds of the present invention include bioequivalent compounds, including pharmaceutically acceptable salts and prodrugs. This is intended to encompass any pharmaceutically acceptable salts, esters, or salts of such esters, or any other compound which, upon administration to an animal including a human, is capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to pharmaceutically acceptable salts of the nucleic acids of the invention and prodrugs of such nucleic acids.

[0035] Pharmaceutically acceptable “salts” are physiologically and pharmaceutically acceptable salts of the nucleic acids of the invention: i.e., salts that retain the desired biological activity of the parent compound and do not impart undesired toxicological effects thereto [see, for example, Berge et al., “Pharmaceutical Salts,” J. of Pharma Sci., 66:1 (1977)].

[0036] For oligonucleotides, examples of pharmaceutically acceptable salts include but are not limited to (a) salts formed with cations such as sodium, potassium, ammonium, magnesium, calcium, polyamines such as spermine and spermidine, etc.; (b) acid addition salts formed with inorganic acids, for example hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid and the like; (c) salts formed with organic acids such as, for example, acetic acid, oxalic acid, tartaric acid, succinic acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, palmitic acid, alginic acid, polyglutamic acid, naphthalenesulfonic acid, methanesulfonic acid, p-toluenesulfonic acid, naphthalenedisulfonic acid, polygalacturonic acid, and the like; and (d) salts formed from elemental anions such as chlorine, bromine, and iodine.

[0037] The oligonucleotides of the invention may additionally or alternatively be prepared to be delivered in a “prodrug” form. The term “prodrug” indicates a therapeutic agent that is prepared in an inactive form that is converted to an active form (i.e., drug) within the body or cells thereof by the action of endogenous enzymes or other chemicals and/or conditions. In particular, prodrug versions of the oligonucleotides of the invention are prepared as SATE [(S-acetyl-2-thioethyl) phosphate] derivatives according to the methods disclosed in WO 93/24510 to Gosselin et al., published Dec. 9, 1993.

[0038] For therapeutic or prophylactic treatment, oligonucleotides are administered in accordance with this invention. Oligonucleotide compounds of the invention may be formulated in a pharmaceutical composition, which may include pharmaceutically acceptable carriers, thickeners, diluents, buffers, preservatives, surface active agents, neutral or cationic lipids, lipid complexes, liposomes, penetration enhancers, carrier compounds and other pharmaceutically acceptable carriers or excipients and the like in addition to the oligonucleotide. Such compositions and formulations are comprehended by the present invention.

[0039] Pharmaceutical compositions comprising the oligonucleotides of the present invention may include penetration enhancers in order to enhance the alimentary delivery of the oligonucleotides. Penetration enhancers may be classified as belonging to one of five broad categories, i.e., fatty acids, bile salts, chelating agents, surfactants and non-surfactants (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, 8:91-192; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990, 7:1). One or more penetration enhancers from one or more of these broad categories may be included. Compositions comprising oligonucleotides and penetration enhancers are disclosed in co-pending U.S. patent application Ser. No. 08/886,829 to Teng et al., filed Jul. 1, 1997, which is herein incorporated by reference in its entirety.

[0040] The compositions of the present invention may additionally contain other adjunct components conventionally found in pharmaceutical compositions, at their art-established usage levels. Thus, for example, the compositions may contain additional compatible pharmaceutically-active materials such as, e.g., antipruritics, astringents, local anesthetics or anti-inflammatory agents, or may contain additional materials useful in physically formulating various dosage forms of the composition of present invention, such as dyes, flavoring agents, preservatives, antioxidants, opacifiers, thickening agents and stabilizers. However, such materials, when added, should not unduly interfere with the biological activities of the components of the compositions of the invention.

[0041] Regardless of the method by which the oligonucleotides of the invention are introduced into a patient, colloidal dispersion systems may be used as delivery vehicles to enhance the in vivo stability of the oligonucleotides and/or to target the oligonucleotides to a particular organ, tissue or cell type. Colloidal dispersion systems include, but are not limited to, macromolecule complexes, nanocapsules, microspheres, beads and lipid-based systems including oil-in-water emulsions, micelles, mixed micelles, liposomes and lipid:oligonucleotide complexes of uncharacterized structure. A preferred colloidal dispersion system is a plurality of liposomes. Liposomes are microscopic spheres having an aqueous core surrounded by one or more outer layers made up of lipids arranged in a bilayer configuration [see, generally, Chonn et al., Current Op. Biotech., 6, 698 (1995)]. Liposomal antisense compositions are prepared according to the disclosure of co-pending U.S. patent application Ser. No. 08/961,469 to Hardee et al., filed Oct. 31, 1997, herein incorporated by reference in its entirety.

[0042] The pharmaceutical compositions of the present invention may be administered in a number of ways depending upon whether local or systemic treatment is desired and upon the area to be treated. Administration may be topical (including ophthalmic, vaginal, rectal, intranasal, epidermal and transdermal), oral or parenteral. Parenteral administration includes intravenous drip, subcutaneous, intraperitoneal or intramuscular injection, pulmonary administration, e.g., by inhalation or insufflation, or intracranial, e.g., intrathecal or intraventricular, administration. Oligonucleotides with at least one 2′-O-methoxyethyl modification are believed to be particularly useful for oral administration. Modes of administering oligonucleotides are disclosed in co-pending U.S. patent application Ser. No. 08/961,469 to Hardee et al., filed Oct. 31, 1997, herein incorporated by reference in its entirety.

[0043] Formulations for topical administration may include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders. Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like may be necessary or desirable. Coated condoms, gloves and the like may also be useful.

[0044] Compositions for oral administration include powders or granules, suspensions or solutions in water or non-aqueous media, capsules, sachets or tablets. Thickeners, flavoring agents, diluents, emulsifiers, dispersing aids or binders may be desirable.

[0045] Compositions for parenteral administration may include sterile aqueous solutions which may also contain buffers, diluents and other suitable additives. In some cases it may be more effective to treat a patient with an oligonucleotide of the invention in conjunction with other traditional therapeutic modalities in order to increase the efficacy of a treatment regimen. In the context of the invention, the term “treatment regimen” is meant to encompass therapeutic, palliative and prophylactic modalities. For example, a patient may be treated with conventional chemotherapeutic agents, particularly those used for tumor and cancer treatment. Examples of such chemotherapeutic agents include but are not limited to daunorubicin, daunomycin, dactinomycin, doxorubicin, epirubicin, idarubicin, esorubicin, bleomycin, mafosfamide, ifosfamide, cytosine arabinoside, bis-chloroethylnitrosurea, busulfan, mitomycin C, actinomycin D, mithramycin, prednisone, hydroxyprogesterone, testosterone, tamoxifen, dacarbazine, procarbazine, hexamethylmelamine, pentamethylmelamine, mitoxantrone, amsacrine, chlorambucil, methylcyclohexylnitrosurea, nitrogen mustards, melphalan, cyclophosphamide, 6-mercaptopurine, 6-thioguanine, cytarabine (CA), 5-azacytidine, hydroxyurea, deoxycoformycin, 4-hydroxyperoxycyclophosphoramide, 5-fluorouracil (5-FU), 5-fluorodeoxyuridine (5-FUdR), methotrexate (MTX), colchicine, taxol, vincristine, vinblastine, etoposide, trimetrexate, teniposide, cisplatin and diethylstilbestrol (DES). See, generally, The Merck Manual of Diagnosis and Therapy, 15th Ed., pp. 1206-1228, Berkow et al., eds., Rahay, N. J., 1987). When used with the compounds of the invention, such chemotherapeutic agents may be used individually (e.g., 5-FU and oligonucleotide), sequentially (e.g., 5-FU and oligonucleotide for a period of time followed by MTX and oligonucleotide), or in combination with one or more other such chemotherapeutic agents (e.g., 5-FU, MTX and oligonucleotide, or 5-FU, radiotherapy and oligonucleotide).

[0046] The formulation of therapeutic compositions and their subsequent administration is believed to be within the skill of those in the art. Dosing is dependent on severity and responsiveness of the disease state to be treated, with the course of treatment lasting from several days to several months, or until a cure is effected or a diminution of the disease state is achieved. Optimal dosing schedules can be calculated from measurements of drug accumulation in the body of the patient. Persons of ordinary skill can easily determine optimum dosages, dosing methodologies and repetition rates. Optimum dosages may vary depending on the relative potency of individual oligonucleotides, and can generally be estimated based on EC₅₀s found to be effective in in vitro and in vivo animal models. In general, dosage is from 0.01 μg to 100 g per kg of body weight, and may be given once or more daily, weekly, monthly or yearly, or even once every 2 to 20 years. Persons of ordinary skill in the art can easily estimate repetition rates for dosing based on measured residence times and concentrations of the drug in bodily fluids or tissues. Following successful treatment, it may be desirable to have the patient undergo maintenance therapy to prevent the recurrence of the disease state, wherein the oligonucleotide is administered in maintenance doses, ranging from 0.01 μg to 100 g per kg of body weight, once or more daily, to once every 20 years.

[0047] Thus, in the context of this invention, by “therapeutically effective amount” is meant the amount of the compound which is required to have a therapeutic effect on the treated mammal. This amount, which will be apparent to the skilled artisan, will depend upon the type of mammal, the age and weight of the mammal, the type of disease to be treated, perhaps even the gender of the mammal, and other factors which are routinely taken into consideration when treating a mammal with a disease. A therapeutic effect is assessed in the mammal by measuring the effect of the compound on the disease state in the animal. For example, if the disease to be treated is cancer, therapeutic effects are assessed by measuring the rate of growth or the size of the tumor, or by measuring the production of compounds such as cytokines, production of which is an indication of the progress or regression of the tumor.

[0048] The following examples illustrate the present invention and are not intended to limit the same.

EXAMPLES Example 1 Synthesis of Oligonucleotides

[0049] Unmodified oligodeoxynucleotides are synthesized on an automated DNA synthesizer (Applied Biosystems model 380B) using standard phosphoramidite chemistry with oxidation by iodine. β-cyanoethyldiisopropyl-phosphoramidites are purchased from Applied Biosystems (Foster City, Calif.). For phosphorothioate oligonucleotides, the standard oxidation bottle was replaced by a 0.2 M solution of ³H-1,2-benzodithiole-3-one 1,1-dioxide in acetonitrile for the stepwise thiation of the phosphite linkages. The thiation cycle wait step was increased to 68 seconds and was followed by the capping step.

[0050] 2′-methoxy oligonucleotides were synthesized using 2′-methoxy β-cyanoethyldiisopropyl-phosphoramidites (Chemgenes, Needham, Mass.) and the standard cycle for unmodified oligonucleotides, except the wait step after pulse delivery of tetrazole and base was increased to 360 seconds. Other 2′-alkoxy oligonucleotides were synthesized by a modification of this method, using appropriate 2′-modified amidites such as those available from Glen Research, Inc., Sterling, Va.

[0051] 2′-fluoro oligonucleotides were synthesized as described in Kawasaki et al., J. Med. Chem., 36, 831 (1993). Briefly, the protected nucleoside N⁶-benzoyl-2′-deoxy-2′-fluoroadenosine was synthesized utilizing commercially available 9-β-D-arabinofuranosyladenine as starting material and by modifying literature procedures whereby the 2′-α-fluoro atom is introduced by a S_(N)2-displacement of a 2′-β-O-trifyl group. Thus N⁶-benzoyl-9-β-D-arabinofuranosyladenine was selectively protected in moderate yield as the 3′,5′-ditetrahydropyranyl (THP) intermediate. Deprotection of the THP and N⁶-benzoyl groups was accomplished using standard methodologies and standard methods were used to obtain the 5′-dimethoxytrityl-(DMT) and 5′-DMT-3′-phosphoramidite intermediates.

[0052] The synthesis of 2′-deoxy-2′-fluoroguanosine was accomplished using tetraisopropyldisiloxanyl (TPDS) protected 9-β-D-arabinofuranosylguanine as starting material, and conversion to the intermediate diisobutyryl-arabinofuranosylguanosine. Deprotection of the TPDS group was followed by protection of the hydroxyl group with THP to give diisobutyryl di-THP protected arabinofuranosylguanine. Selective O-deacylation and triflation was followed by treatment of the crude product with fluoride, then deprotection of the THP groups. Standard methodologies were used to obtain the 5′-DMT- and 5′-DMT-3′-phosphoramidites.

[0053] Synthesis of 2′-deoxy-2′-fluorouridine was accomplished by the modification of a known procedure in which 2,2′-anhydro-1-β-D-arabinofuranosyluracil was treated with 70% hydrogen fluoride-pyridine. Standard procedures were used to obtain the 5′-DMT and 5′-DMT-3′phosphoramidites.

[0054] 2′-deoxy-2′-fluorocytidine was synthesized via amination of 2′-deoxy-2′-fluorouridine, followed by selective protection to give N⁴-benzoyl-2′-deoxy-2′-fluorocytidine. Standard procedures were used to obtain the 5′-DMT and 5′-DMT-3′phosphoramidites.

[0055] 2′-(2-methoxyethyl)-modified amidites are synthesized according to Martin, P., Helv. Chim. Acta, 78,486 (1995). For ease of synthesis, the last nucleotide was a deoxynucleotide. 2′—O—CH₂CH₂OCH₃— cytosines may be 5-methyl cytosines.

[0056] Synthesis of 5-methyl Cytosine Monomers:

[0057] 2,2′-Anhydro [1-(β-D-arabinofuranosyl)-5-methyluridine]:

[0058] 5-Methyluridine (ribosylthymine, commercially available through Yamasa, Choshi, Japan) (72.0 g, 0.279 M), diphenyl-carbonate (90.0 g, 0.420 M) and sodium bicarbonate (2.0 g, 0.024 M) were added to DMF (300 mL). The mixture was heated to reflux, with stirring, allowing the evolved carbon dioxide gas to be released in a controlled manner. After 1 hour, the slightly darkened solution was concentrated under reduced pressure. The resulting syrup was poured into diethylether (2.5 L), with stirring. The product formed a gum. The ether was decanted and the residue was dissolved in a minimum amount of methanol (ca. 400 mL). The solution was poured into fresh ether (2.5 L) to yield a stiff gum. The ether was decanted and the gum was dried in a vacuum oven (60° C. at 1 mm Hg for 24 hours) to give a solid which was crushed to a light tan powder (57 g, 85% crude yield). The material was used as is for further reactions.

[0059] 2′-O-Methoxyethyl-5-methyluridine:

[0060] 2,2′-Anhydro-5-methyluridine (195 g, 0.81 M), tris(2-methoxyethyl)borate (231 g, 0.98 M) and 2-methoxyethanol (1.2 L) were added to a 2 L stainless steel pressure vessel and placed in a pre-heated oil bath at 160° C. After heating for 48 hours at 155-160° C., the vessel was opened and the solution evaporated to dryness and triturated with MeOH (200 mL). The residue was suspended in hot acetone (1 L). The insoluble salts were filtered, washed with acetone (150 mL) and the filtrate evaporated. The residue (280 g) was dissolved in CH₃CN (600 mL) and evaporated. A silica gel column (3 kg) was packed in CH₂Cl₂/acetone/MeOH (20:5:3) containing 0.5% EtNH. The residue was dissolved in CH₂Cl₂ (250 mL) and adsorbed onto silica (150 g) prior to loading onto the column. The product was eluted with the packing solvent to give 160 g (63%) of product.

[0061] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine:

[0062] 2′-O-Methoxyethyl-5-methyluridine (160 g, 0.506 M) was co-evaporated with pyridine (250 mL) and the dried residue dissolved in pyridine (1.3 L). A first aliquot of dimethoxytrityl chloride (94.3 g, 0.278 M) was added and the mixture stirred at room temperature for one hour. A second aliquot of dimethoxytrityl chloride (94.3 g, 0.278 M) was added and the reaction stirred for an additional one hour. Methanol (170 mL) was then added to stop the reaction. HPLC showed the presence of approximately 70% product. The solvent was evaporated and triturated with CH₃CN (200 mL). The residue was dissolved in CHCl₃ (1.5 L) and extracted with 2×500 mL of saturated NaHCO₃ and 2×500 mL of saturated NaCl. The organic phase was dried over Na₂SO₄₁ filtered and evaporated. 275 g of residue was obtained. The residue was purified on a 3.5 kg silica gel column, packed and eluted with EtOAc/Hexane/Acetone (5:5:1) containing 0.5% Et₃NH. The pure fractions were evaporated to give 164 g of product. Approximately 20 g additional was obtained from the impure fractions to give a total yield of 183 g (57%).

[0063] 3′-O-Acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyl-uridine:

[0064] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine (106 g, 0.167 M), DMF/pyridine (750 mL of a 3:1 mixture prepared from 562 mL of DMF and 188 mL of pyridine) and acetic anhydride (24.38 mL, 0.258 M) were combined and stirred at room temperature for 24 hours. The reaction was monitored by tlc by first quenching the tlc sample with the addition of MeOH. Upon completion of the reaction, as judged by tlc, MeOH (50 mL) was added and the mixture evaporated at 35° C. The residue was dissolved in CHCl₃ (800 mL) and extracted with 2×200 mL of saturated sodium bicarbonate and 2×200 mL of saturated NaCl. The water layers were back extracted with 200 mL of CHCl₃. The combined organics were dried with sodium sulfate and evaporated to give 122 g of residue (approx. 90% product). The residue was purified on a 3.5 kg silica gel column and eluted using EtOAc/Hexane(4:1). Pure product fractions were evaporated to yield 96 g (84%).

[0065] 3′-O-Acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyl-4-triazoleuridine:

[0066] A first solution was prepared by dissolving 3′-O-acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine (96 g, 0.144 M) in CH₃CN (700 mL) and set aside. Triethylamine (189 mL, 1.44 M) was added to a solution of triazole (90 g, 1.3 M) in CH₃CN (1 L), cooled to −5° C. and stirred for 0.5 h using an overhead stirrer. POCl₃ was added dropwise, over a 30 minute period, to the stirred solution maintained at 0-10° C., and the resulting mixture stirred for an additional 2 hours. The first solution was added dropwise, over a 45 minute period, to the later solution. The resulting reaction mixture was stored overnight in a cold room. Salts were filtered from the reaction mixture and the solution was evaporated. The residue was dissolved in EtOAc (1 L) and the insoluble solids were removed by filtration. The filtrate was washed with 1×300 mL of NaHCO₃ and 2×300 mL of saturated NaCl, dried over sodium sulfate and evaporated. The residue was triturated with EtOAc to give the title compound.

[0067] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine:

[0068] A solution of 3′-O-acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyl-4-triazoleuridine (103 g, 0.141 M) in dioxane (500 mL) and NH₄OH (30 mL) was stirred at room temperature for 2 hours. The dioxane solution was evaporated and the residue azeotroped with MeOH (2×200 mL). The residue was dissolved in MeOH (300 mL) and transferred to a 2 liter stainless steel pressure vessel. MeOH (400 mL) saturated with NH₃ gas was added and the vessel heated to 100° C. for 2 hours (tlc showed complete conversion). The vessel contents were evaporated to dryness and the residue was dissolved in EtOAc (500 mL) and washed once with saturated NaCl (200 mL). The organics were dried over sodium sulfate and the solvent was evaporated to give 85 g (95%) of the title compound.

[0069] N⁴-Benzoyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine:

[0070] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine (85 g, 0.134 M) was dissolved in DMF (800 mL) and benzoic anhydride (37.2 g, 0.165 M) was added with stirring. After stirring for 3 hours, tic showed the reaction to be approximately 95% complete. The solvent was evaporated and the residue azeotroped with MeOH (200 mL). The residue was dissolved in CHCl₃ (700 mL) and extracted with saturated NaHCO₃ (2×300 mL) and saturated NaCl (2×300 mL), dried over MgSO₄ and evaporated to give a residue (96 g). The residue was chromatographed on a 1.5 kg silica column using EtOAc/Hexane (1:1) containing 0.5% Et₃NH as the eluting solvent. The pure product fractions were evaporated to give 90 g (90%) of the title compound.

[0071] N⁴-Benzoyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine-3′-amidite:

[0072] N⁴-Benzoyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine (74 g, 0.10 M) was dissolved in CH₂Cl₂ (1 L). Tetrazole diisopropylamine (7.1 g) and 2-cyanoethoxy-tetra-(isopropyl)phosphite (40.5 mL, 0.123 M) were added with stirring, under a nitrogen atmosphere. The resulting mixture was stirred for 20 hours at room temperature (tlc showed the reaction to be 95% complete). The reaction mixture was extracted with saturated NaHCO₃ (1×300 mL) and saturated NaCl (3×300 mL). The aqueous washes were back-extracted with CH₂Cl₂ (300 mL), and the extracts were combined, dried over MgSO₄ and concentrated. The residue obtained was chromatographed on a 1.5 kg silica column using EtOAc\Hexane (3:1) as the eluting solvent. The pure fractions were combined to give 90.6 g (87%) of the title compound.

[0073] 5-methyl-2′-deoxycytidine (5-me-C) containing oligonucleotides were synthesized according to published methods [Sanghvi et al., Nucl. Acids Res., 21, 3197 (1993)] using commercially available phosphoramidites (Glen Research, Sterling Va. or ChemGenes, Needham Mass.).

[0074] Oligonucleotides having methylene(methylimino) (MMI) backbones are synthesized according to U.S. Pat. No. 5,378,825, which is coassigned to the assignee of the present invention and is incorporated herein in its entirety. For ease of synthesis, various nucleoside dimers containing MMI linkages were synthesized and incorporated into oligonucleotides. Other nitrogen-containing backbones are synthesized according to WO 92/20823 which is also coassigned to the assignee of the present invention and incorporated herein in its entirety.

[0075] Oligonucleotides having amide backbones are synthesized according to De Mesmaeker et al., Acc. Chem. Res., 28, 366 (1995). The amide moiety is readily accessible by simple and well-known synthetic methods and is compatible with the conditions required for solid phase synthesis of oligonucleotides.

[0076] Oligonucleotides with morpholino backbones are synthesized according to U.S. Pat. No. 5,034,506 (Summerton and Weller).

[0077] Peptide-nucleic acid (PNA) oligomers are synthesized according to P. E. Nielsen et al., Science, 254, 1497 (1991).

[0078] After cleavage from the controlled pore glass column (Applied Biosystems) and deblocking in concentrated ammonium hydroxide at 55° C. for 18 hours, the oligonucleotides are purified by precipitation twice out of 0.5 M NaCl with 2.5 volumes ethanol. Synthesized oligonucleotides were analyzed by polyacrylamide gel electrophoresis on denaturing gels and judged to be at least 85% full length material. The relative amounts of phosphorothioate and phosphodiester linkages obtained in synthesis were periodically checked by ³¹P nuclear magnetic resonance spectroscopy, and for some studies oligonucleotides were purified by HPLC, as described by Chiang et al., J. Biol. Chem., 266, 18162 (1991). Results obtained with HPLC-purified material were similar to those obtained with non-HPLC purified material.

EXAMPLE 2 Human mdm2 Oligonucleotide Sequences

[0079] The oligonucleotides tested are presented in Table 1. Sequence data are from the cDNA sequence published by Oliner, J. D., et al., Nature, 358, 80 (1992); Genbank accession number Z12020, provided herein as SEQ ID NO: 1. Oligonucleotides were synthesized primarily as chimeric oligonucleotides having a centered deoxy gap of eight nucleotides flanked by 2′-O-methoxyethyl regions.

[0080] A549 human lung carcinoma cells (obtained from the American Type Culture Collection) were routinely passaged at 80-90% confluency in Dulbecco's modified Eagle's medium (DMEM) and 10% fetal bovine serum (Hyclone, Logan, Utah).

[0081] A549 cells were treated with phosphorothioate oligonucleotides at 200 nM for four hours in the presence of 6 μg/ml LIPOFECTIN™, washed and allowed to recover for an additional 20 hours. Total RNA was extracted and 15-20 mg of each was resolved on 1% gels and transferred to nylon membranes. The blots were probed with a ³²P radiolabeled mdm2 cDNA probe and then stripped and reprobed with a radiolabeled G3PDH probe to confirm equal RNA loading. mdm2 transcripts were examined and quantified with a PhosphorImager (Molecular Dynamics, Sunnyvale, Calif.). Results are shown in Table 2. Oligonucleotides 16506 (SEQ ID NO: 3), 16507 (SEQ ID NO: 4), 16508 (SEQ ID NO: 5), 16510 (SEQ ID NO: 7), 16518 (SEQ ID NO: 15), 16520 (SEQ ID NO: 17), 16521 (SEQ ID NO: 18), 16522 (SEQ ID NO: 19) and 16524 (SEQ ID NO: 21) gave at least approximately 50% reduction of mdm2 mRNA levels. Oligonucleotides 16507 and 16518 gave better than 85% reduction of mdm2. TABLE 1 Nucleotide Sequences of Human mdm-2 Phosphorothioate Oligonucleotides SEQ TARGET GENE GENE ISIS NUCLEOTIDE SEQUENCE¹ ID NUCLEOTIDE TARGET NO. (5′ -> 3′) NO: CO-ORDINATES² REGION 16506 CAGCCAAGCTCGCGCGGTGC  3 0001-0020 5′-UTR 16507 TCTTTCCGACACACAGGGCC  4 0037-0056 5′-UTR 16508 CAGCAGGATCTCGGTCAGAG  5 0095-0114 5′-UTR 16509 GGGCGCTCGTACGCACTAAT  6 0147-0166 5′-UTR 16510 TCGGGGATCATTCCACTCTC  7 0181-0200 5′-UTR 16511 CGGGGTTTTCGCGCTTGGAG  8 0273-0292 5′-UTR 16512 CATTTGCCTGCTCCTCACCA  9 0295-0314 AUG 16513 GTATTGCACATTTGCCTGCT 10 0303-0322 AUG 16514 AGCACCATCAGTAGGTACAG 11 0331-0350 ORF 16515 CTACCAAGTTCCTGTAGATC 12 0617-0636 ORF 16516 TCAACTTCAAATTCTACACT 13 1047-1066 ORF 16517 TTTACAATCAGGAACATCAA 14 1381-1400 ORF 16518 AGCTTCTTTGCACATGTAAA 15 1695-1714 ORF 16519 CAGGTCAACTAGGGGAAATA 16 1776-1795 stop 16520 TCTTATAGACAGGTCAACTA 17 1785-1804 stop 16521 TCCTAGGGTTATATAGTTAG 18 1818-1837 3′-UTR 16522 AAGTATTCACTATTCCACTA 19 1934-1953 3′-UTR 16523 CCAAGATCACCCACTGCACT 20 2132-2151 3′-UTR 16524 AGGTGTGGTGGCAGATGACT 21 2224-2243 3′-UTR 16525 CCTGTCTCTACTAAAAGTAC 22 2256-2275 3′-UTR 17604 ACAAGCCTTCGCTCTACCGG 23 scrambled 16507 control 17605 TTCAGCGCATTTGTACATAA 24 scrambled 16518 control 17615 TCTTTCCGACACACAGGGCC 25 0037-0056 5′-UTR 17616 AGCTTCTTTGCACATGTAAA 15 1695-1714 ORF 17755 AGCTTCTTTGCACATGTAAA 15 1695-1714 ORF 17756 AGCTTCTTTATACATGTAAA 26 2-base 17616 mismatch 17757 AGCTTCTTTACACATGTAAA 27 1-base 17616 mismatch # the Landers sequence.

[0082] TABLE 2 Activities of Phosphorothioate Oligonucleotides Targeted to Human mdm2 SEQ GENE % mRNA ISIS ID TARGET EX- % mRNA No: NO: REGION PRESSION INHIBITION LIPOFECTIN ™ — —    100%     0% only 16506  3 5′-UTR  45 55 16507  4 5′-UTR  13 87 16508  5 5′-UTR  38 62 16509  6 5′-UTR 161 — 16510  7 5′-UTR  46 54 16511  8 5′-UTR  91  9 16512  9 AUG  89 11 16513 10 AUG 174 — 16514 11 Coding  92  8 16515 12 Coding 155 — 16516 13 Coding 144 — 16517 14 Coding  94  6 16518 15 Coding  8 92 16519 16 stop  73 27 16520 17 stop  51 49 16521 18 3′-UTR  38 62 16522 19 3′-UTR  49 51 16523 20 3′-UTR 109 — 16524 21 3′-UTR  47 53 16525 22 3′-UTR 100 —

EXAMPLE 3 Dose Response of Antisense Oligonucleotide Effects on Human mdm2 mRNA Levels in A549 Cells

[0083] Oligonucleotides 16507 and 16518 were tested at different concentrations. A549 cells were grown, treated and processed as described in Example 2. LIPOFECTIN™ was added at a ratio of 3 μg/ml per 100 nM of oligonucleotide. The control included LIPOFECTIN™ at a concentration of 12 μg/ml. Oligonucleotide 17605, an oligonucleotide with different sequence but identical base composition to oligonucleotide 16518, was used as a negative control. Results are shown in Table 3. Oligonucleotides 16507 and 16518 gave approximately 90% inhibition at concentrations greater than 200 nM. No inhibition was seen with oligonucleotide 17605. TABLE 3 Dose Response of A549 Cells to mdm2 Antisense Oligonucleotides (ASOs) SEQ ID ASO Gene % mRNA % mRNA ISIS # NO: Target Dose Expression Inhibition control — LIPOFECTIN ™ — 100% 0% only 16507  4 5′-UTR  25 nM 55 45 16507  4 ″  50 nM 52 48 16507  4 ″ 100 nM 24 76 16507  4 ″ 200 nM 12 88 16518 15 Coding  50 nM 18 82 16518 15 ″ 100 nM 14 86 16518 15 ″ 200 nM  9 91 16518 15 ″ 400 nM  8 92 17605 24 scrambled 400 nM 129  —

EXAMPLE 4 Time Course of Antisense Oligonucleotide Effects on Human mdm2 mRNA Levels in A549 Cells

[0084] Oligonucleotides 16507 and 17605 were tested by treating for varying times. A549 cells were grown, treated for times indicated in Table 4 and processed as described in Example 2. Results are shown in Table 4. Oligonucleotide 16507 gave greater than 90% inhibition throughout the time course. No inhibition was seen with oligonucleotide 17605. TABLE 4 Time Course of Response of Cells to Human mdm2 Antisense Oligonucleotides (ASOs) SEQ ID ASO Gene % RNA % RNA ISIS # NO: Target Region Time Expression Inhibition basal — LIPOFECTIN ™ 24 h 100%  0% only basal — LIPOFECTIN ™ 48 h 100%  0% only basal — LIPOFECTIN ™ 72 h 100%  0% only 16518 15 Coding 24 h  3% 97% 16518 15 ″ 48 h  6% 94% 16518 15 ″ 72 h  5% 95% 17605 24 scrambled 24 h 195% — 17605 24 ″ 48 h 100% — 17605 24 ″ 72 h 102% —

EXAMPLE 5 Effect of Antisense Oligonucleotides on Cell Proliferation in A549 Cells

[0085] A549 cells were treated on day 0 for four hours with 400 nM oligonucleotide and 12 mg/ml LIPOFECTIN. After four hours, the media was replaced. Twenty-four, forty-eight or seventy-two hours after initiation of oligonucleotide treatment, live cells were counted on a hemacytometer. Results are shown in Table 5. TABLE 5 Antisense Inhibition of Cell Proliferation in A549 cells SEQ ID ASO Gene % Cell % Growth ISIS # NO: Target Region Time Growth Inhibition basal — LIPOFECTIN ™ 24 h 100%  0% only basal — LIPOFECTIN ™ 48 h 100%  0% only basal — LIPOFECTIN ™ 72 h 100%  0% only 16518 15 Coding 24 h 53% 47%  16518 15 ″ 48 h 27% 73%  16518 15 ″ 72 h 17% 83%  17605 24 scrambled 24 h 93% 7% 17605 24 ″ 48 h 76% 24%  17605 24 ″ 72 h 95% 5%

EXAMPLE 6 Additional Human mdm2 Antisense Oligonucleotides

[0086] Additional oligonucleotides targeted to the 5′-untranslated region of human mdm2 mRNA were designed and synthesized. Sequence data are from the cDNA sequence published by Zauberman, A., et al., Nucleic Acids Res., 23, 2584 (1995); Genbank accession number HSU28935. Oligonucleotides were synthesized primarily as chimeric oligonucleotides having a centered deoxy gap of eight nucleotides flanked by 2′-O-methoxyethyl regions. These oligonucleotides are shown in Table 6. TABLE 6 Nucleotide Sequences of additional Human mdm-2 Phosphorothioate Oligonucleotides SEQ TARGET GENE GENE ISIS NUCLEOTIDE SEQUENCE¹ ID NUCLEOTIDE TARGET NO. (5′ -> 3′) NO: CO-ORDINATES² REGION 21926 CTACCCTCCAATCGCCACTG 28 0238-0257 5′-UTR 21927 GGTCTACCCTCCAATCGCCA 29 0241-0260 5′-UTR 21928 CGTGCCCACAGGTCTACCCT 30 0251-0270 5′-UTR 21929 AAGTGGCGTGCGTCCGTGCC 31 0265-0284 5′-UTR 21930 AAAGTGGCGTGCGTCCGTGC 32 0266-0285 5′-UTR

[0087]

1 32 2372 base pairs Nucleic Acid Single Unknown No J.D. Kinzler,K.W. Meltzer,P.S. George,D.L. Vogelstein,B. Oliner Amplification of a gene encoding a p53-associated protein in human sarcomas Nature 358 6381 80-83 02-JUL-1992 1 GCACCGCGCG AGCTTGGCTG CTTCTGGGGC CTGTGTGGCC CTGTGTGTCG 50 GAAAGATGGA GCAAGAAGCC GAGCCCGAGG GGCGGCCGCG ACCCCTCTGA 100 CCGAGATCCT GCTGCTTTCG CAGCCAGGAG CACCGTCCCT CCCCGGATTA 150 GTGCGTACGA GCGCCCAGTG CCCTGGCCCG GAGAGTGGAA TGATCCCCGA 200 GGCCCAGGGC GTCGTGCTTC CGCAGTAGTC AGTCCCCGTG AAGGAAACTG 250 GGGAGTCTTG AGGGACCCCC GACTCCAAGC GCGAAAACCC CGGATGGTGA 300 GGAGCAGGCA AATGTGCAAT ACCAACATGT CTGTACCTAC TGATGGTGCT 350 GTAACCACCT CACAGATTCC AGCTTCGGAA CAAGAGACCC TGGTTAGACC 400 AAAGCCATTG CTTTTGAAGT TATTAAAGTC TGTTGGTGCA CAAAAAGACA 450 CTTATACTAT GAAAGAGGTT CTTTTTTATC TTGGCCAGTA TATTATGACT 500 AAACGATTAT ATGATGAGAA GCAACAACAT ATTGTATATT GTTCAAATGA 550 TCTTCTAGGA GATTTGTTTG GCGTGCCAAG CTTCTCTGTG AAAGAGCACA 600 GGAAAATATA TACCATGATC TACAGGAACT TGGTAGTAGT CAATCAGCAG 650 GAATCATCGG ACTCAGGTAC ATCTGTGAGT GAGAACAGGT GTCACCTTGA 700 AGGTGGGAGT GATCAAAAGG ACCTTGTACA AGAGCTTCAG GAAGAGAAAC 750 CTTCATCTTC ACATTTGGTT TCTAGACCAT CTACCTCATC TAGAAGGAGA 800 GCAATTAGTG AGACAGAAGA AAATTCAGAT GAATTATCTG GTGAACGACA 850 AAGAAAACGC CACAAATCTG ATAGTATTTC CCTTTCCTTT GATGAAAGCC 900 TGGCTCTGTG TGTAATAAGG GAGATATGTT GTGAAAGAAG CAGTAGCAGT 950 GAATCTACAG GGACGCCATC GAATCCGGAT CTTGATGCTG GTGTAAGTGA 1000 ACATTCAGGT GATTGGTTGG ATCAGGATTC AGTTTCAGAT CAGTTTAGTG 1050 TAGAATTTGA AGTTGAATCT CTCGACTCAG AAGATTATAG CCTTAGTGAA 1100 GAAGGACAAG AACTCTCAGA TGAAGATGAT GAGGTATATC AAGTTACTGT 1150 GTATCAGGCA GGGGAGAGTG ATACAGATTC ATTTGAAGAA GATCCTGAAA 1200 TTTCCTTAGC TGACTATTGG AAATGCACTT CATGCAATGA AATGAATCCC 1250 CCCCTTCCAT CACATTGCAA CAGATGTTGG GCCCTTCGTG AGAATTGGCT 1300 TCCTGAAGAT AAAGGGAAAG ATAAAGGGGA AATCTCTGAG AAAGCCAAAC 1350 TGGAAAACTC AACACAAGCT GAAGAGGGCT TTGATGTTCC TGATTGTAAA 1400 AAAACTATAG TGAATGATTC CAGAGAGTCA TGTGTTGAGG AAAATGATGA 1450 TAAAATTACA CAAGCTTCAC AATCACAAGA AAGTGAAGAC TATTCTCAGC 1500 CATCAACTTC TAGTAGCATT ATTTATAGCA GCCAAGAAGA TGTGAAAGAG 1550 TTTGAAAGGG AAGAAACCCA AGACAAAGAA GAGAGTGTGG AATCTAGTTT 1600 GCCCCTTAAT GCCATTGAAC CTTGTGTGAT TTGTCAAGGT CGACCTAAAA 1650 ATGGTTGCAT TGTCCATGGC AAAACAGGAC ATCTTATGGC CTGCTTTACA 1700 TGTGCAAAGA AGCTAAAGAA AAGGAATAAG CCCTGCCCAG TATGTAGACA 1750 ACCAATTCAA ATGATTGTGC TAACTTATTT CCCCTAGTTG ACCTGTCTAT 1800 AAGAGAATTA TATATTTCTA ACTATATAAC CCTAGGAATT TAGACAACCT 1850 GAAATTTATT CACATATATC AAAGTGAGAA AATGCCTCAA TTCACATAGA 1900 TTTCTTCTCT TTAGTATAAT TGACCTACTT TGGTAGTGGA ATAGTGAATA 1950 CTTACTATAA TTTGACTTGA ATATGTAGCT CATCCTTTAC ACCAACTCCT 2000 AATTTTAAAT AATTTCTACT CTGTCTTAAA TGAGAAGTAC TTGGTTTTTT 2050 TTTTCTTAAA TATGTATATG ACATTTAAAT GTAACTTATT ATTTTTTTTG 2100 AGACCGAGTC TTGCTCTGTT ACCCAGGCTG GAGTGCAGTG GGTGATCTTG 2150 GCTCACTGCA AGCTCTGCCC TCCCCGGGTT CGCACCATTC TCCTGCCTCA 2200 GCCTCCCAAT TAGCTTGGCC TACAGTCATC TGCCACCACA CCTGGCTAAT 2250 TTTTTGTACT TTTAGTAGAG ACAGGGTTTC ACCGTGTTAG CCAGGATGGT 2300 CTCGATCTCC TGACCTCGTG ATCCGCCCAC CTCGGCCTCC CAAAGTGCTG 2350 GGATTACAGG CATGAGCCAC CG 2372 500 base pairs Nucleic Acid Single Unknown No A. Flusberg, D. Haupt, Y. Barak, Y. Oren, M. Zauberman A functional p53-responsive intronic promoter is contained within the human mdm2 gene Nucleic Acids Res. 23 14 2584-2592 25-JUL-1995 2 GGCTGCGGGC CCCTGCGGCG CGGGAGGTCC GGATGATCGC AGGTGCCTGT 50 CGGGTCACTA GTGTGAACGC TGCGCGTAGT CTGGGCGGGA TTGGGCCGGT 100 TCAGTGGGCA GGTTGACTCA GCTTTTCCTC TTGAGCTGGT CAAGTTCAGA 150 CACGTTCCGA AACTGCAGTA AAAGGAGTTA AGTCCTGACT TGTCTCCAGC 200 TGGGGCTATT TAAACCATGC ATTTTCCCAG CTGTGTTCAG TGGCGATTGG 250 AGGGTAGACC TGTGGGCACG GACGCACGCC ACTTTTTCTC TGCTGATCCA 300 GGTAAGCACC GACTTGCTTG TAGCTTTAGT TTTAACTGTT GTTTATGTTC 350 TTTATATATG ATGTATTTTC CACAGATGTT TCATGATTTC CAGTTTTCAT 400 CGTGTCTTTT TTTTCCTTGT AGGCAAATGT GCAATACCAA CATGTCTGTA 450 CCTACTGATG GGGCTGTAAC CACCCCACAG ATTCCAGCTT CGGAACAAGA 500 20 base pairs Nucleic Acid Single Linear Yes 3 CAGCCAAGCT CGCGCGGTGC 20 20 base pairs Nucleic Acid Single Linear Yes 4 TCTTTCCGAC ACACAGGGCC 20 20 base pairs Nucleic Acid Single Linear Yes 5 CAGCAGGATC TCGGTCAGAG 20 20 base pairs Nucleic Acid Single Linear Yes 6 GGGCGCTCGT ACGCACTAAT 20 20 base pairs Nucleic Acid Single Linear Yes 7 TCGGGGATCA TTCCACTCTC 20 20 base pairs Nucleic Acid Single Linear Yes 8 CGGGGTTTTC GCGCTTGGAG 20 20 base pairs Nucleic Acid Single Linear Yes 9 CATTTGCCTG CTCCTCACCA 20 20 base pairs Nucleic Acid Single Linear Yes 10 GTATTGCACA TTTGCCTGCT 20 20 base pairs Nucleic Acid Single Linear Yes 11 AGCACCATCA GTAGGTACAG 20 20 base pairs Nucleic Acid Single Linear Yes 12 CTACCAAGTT CCTGTAGATC 20 20 base pairs Nucleic Acid Single Linear Yes 13 TCAACTTCAA ATTCTACACT 20 20 base pairs Nucleic Acid Single Linear Yes 14 TTTACAATCA GGAACATCAA 20 20 base pairs Nucleic Acid Single Linear Yes 15 AGCTTCTTTG CACATGTAAA 20 20 base pairs Nucleic Acid Single Linear Yes 16 CAGGTCAACT AGGGGAAATA 20 20 base pairs Nucleic Acid Single Linear Yes 17 TCTTATAGAC AGGTCAACTA 20 20 base pairs Nucleic Acid Single Linear Yes 18 TCCTAGGGTT ATATAGTTAG 20 20 base pairs Nucleic Acid Single Linear Yes 19 AAGTATTCAC TATTCCACTA 20 20 base pairs Nucleic Acid Single Linear Yes 20 CCAAGATCAC CCACTGCACT 20 20 base pairs Nucleic Acid Single Linear Yes 21 AGGTGTGGTG GCAGATGACT 20 20 base pairs Nucleic Acid Single Linear Yes 22 CCTGTCTCTA CTAAAAGTAC 20 20 base pairs Nucleic Acid Single Linear No 23 ACAAGCCTTC GCTCTACCGG 20 20 base pairs Nucleic Acid Single Linear No 24 TTCAGCGCAT TTGTACATAA 20 20 base pairs Nucleic Acid Single Linear Yes 25 TCTTTCCGAC ACACAGGGCC 20 20 base pairs Nucleic Acid Single Linear No 26 AGCTTCTTTA TACATGTAAA 20 20 base pairs Nucleic Acid Single Linear No 27 AGCTTCTTTA CACATGTAAA 20 20 base pairs Nucleic Acid Single Linear Yes 28 CTACCCTCCA ATCGCCACTG 20 20 base pairs Nucleic Acid Single Linear Yes 29 GGTCTACCCT CCAATCGCCA 20 20 base pairs Nucleic Acid Single Linear Yes 30 CGTGCCCACA GGTCTACCCT 20 20 base pairs Nucleic Acid Single Linear Yes 31 AAGTGGCGTG CGTCCGTGCC 20 20 base pairs Nucleic Acid Single Linear Yes 32 AAAGTGGCGT GCGTCCGTGC 20 

What is claimed is:
 1. An oligonucleotide up to 50 nucleotides in length comprising a nucleotide sequence targeted to the 5′ untranslated region, translation termination codon region, or 3′ untranslated region of a nucleic acid molecule encoding human mdm2, wherein said oligonucleotide inhibits the expression of said human mdm2.
 2. The oligonucleotide of claim 1 comprising SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, SEQ ID NO: 7, SEQ ID NO: 17, SEQ ID NO: 18, SEQ ID NO: 19 or SEQ ID NO:
 21. 3. The oligonucleotide of claim 1 which is targeted to the 5′ untranslated region of the S-mdm2 transcript.
 4. The oligonucleotide of claim 3 comprising SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5 OR SEQ ID NO:
 7. 5. The oligonucleotide of claim 1 comprising SEQ ID NO:
 4. 6. The oligonucleotide of claim 1 which contains at least one phosphorothioate intersugar linkage.
 7. The oligonucleotide of claim 1 which has at least one 2′-O-methoxyethyl modification.
 8. The oligonucleotide of claim 1 which contains at least one 5-methyl cytidine.
 9. The oligonucleotide of claim 8 in which every 2′-O-methoxyethyl modified cytidine residue is a 5-methyl cytidine.
 10. A pharmaceutical composition comprising the oligonucleotide of claim 1 and a pharmaceutically acceptable carrier or diluent.
 11. The pharmaceutical composition of claim 10 where said pharmaceutically acceptable carrier or diluent comprises a lipid or liposome.
 12. A method of modulating the expression of human mdm2 in cells or tissues comprising contacting said cells or tissues with the oligonucleotide of claim
 1. 13. A method of reducing hyperproliferation of human cells comprising contacting proliferating human cells with the composition of claim
 1. 14. A method of reducing hyperproliferation of human cells comprising contacting proliferating human cells with the pharmaceutical composition of claim
 10. 15. A method of treating an animal having a disease or condition associated with mdm2 comprising administering to said animal a therapeutically or prophylactically effective amount of an oligonucleotide of claim
 1. 16. The method of claim 15 wherein the disease or condition is associated with overexpression of mdm2.
 17. The method of claim 15 wherein the disease or condition is associated with amplification of the mdm2 gene.
 18. The method of claim 15 wherein the disease or condition is a hyperproliferative condition.
 19. The method of claim 18 wherein the hyperproliferative condition is cancer.
 20. The method of claim 19 wherein the cancer is a blood, brain, breast, lung or a soft tissue cancer.
 21. The method of claim 18 wherein the hyperproliferative condition is psoriasis, fibrosis, atherosclerosis or restenosis.
 22. The method of claim 15 wherein said oligonucleotide is administered in combination with a chemotherapeutic agent to overcome drug resistance.
 23. An oligonucleotide up to 50 nucleotides targeted to the coding region of a nucleic acid molecule encoding human mdm2, wherein said oligonucleotide inhibits the expression of said human mdm2 and comprises SEQ ID NO:
 15. 24. The oligonucleotide of claim 23 which contains at least one phosphorothioate intersugar linkage.
 25. The oligonucleotide of claim 23 which has at least one 2′-O-methoxyethyl modification.
 26. The oligonucleotide of claim 23 which contains at least one 5-methyl cytidine.
 27. The oligonucleotide of claim 26 in which every 2′-O-methoxyethyl modified cytidine residue is a 5-methyl cytidine.
 28. A pharmaceutical composition comprising the oligonucleotide of claim 23 and a pharmaceutically acceptable carrier or diluent.
 29. The pharmaceutical composition of claim 28 where said pharmaceutically acceptable carrier or diluent comprises a lipid or liposome.
 30. A method of modulating the expression of human mdm2 in cells or tissues comprising contacting said cells or tissues with the oligonucleotide of claim
 23. 31. A method of reducing hyperproliferation of human cells comprising contacting proliferating human cells with the composition of claim
 23. 32. A method of reducing hyperproliferation of human cells comprising contacting proliferating human cells with the pharmaceutical composition of claim
 28. 33. A method of treating an animal having a disease or condition associated with mdm2 comprising administering to said animal a therapeutically or prophylactically effective amount of an oligonucleotide of claim
 23. 34. The method of claim 33 wherein the disease or condition is associated with overexpression of mdm2.
 35. The method of claim 33 wherein the disease or condition is associated with amplification of the mdm2 gene.
 36. The method of claim 33 wherein the disease or condition is a hyperproliferative condition.
 37. The method of claim 36 wherein the hyperproliferative condition is cancer.
 38. The method of claim 37 wherein the cancer is a blood, brain, breast, lung or a soft tissue cancer.
 39. The method of claim 36 wherein the hyperproliferative condition is psoriasis, fibrosis, atherosclerosis or restenosis.
 40. The method of claim 33 wherein said oligonucleotide is administered in combination with a chemotherapeutic agent to overcome drug resistance. 